Leong, Jackie

Leong, Jackie is an sole proprietor health care provider with primary practice located at 1419 35Th St , Brooklyn NY 11218-3727. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Body Imaging is his primary health care specialty. Leong, Jackie can be contacted via phone (914) 747-2438.

Contact Information

Primary practice address
1419 35Th St Brooklyn NY 11218-3727
Phone: (914) 747-2438
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 25MA05941500 New Jersey
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X 25MA05941500 New Jersey
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25MA05941500 New Jersey
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X 25MA05941500 New Jersey

Profile Details

NPI number 1629170782
LBN Legal business name Leong, Jackie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 1st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629170782 NPPES
New Jersey MEDICAID 0058289

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